Individual
ELIZABETH ANN ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 NW 22ND AVE STE LL10, PORTLAND, OR 97210
(503) 413-6050
(503) 413-8363
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201608468NP-PP
OR
Other
Enumeration date
10/26/2017
Last updated
09/03/2019
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